Workers Comp Fraud

The Ca WC (California workers' compensation) insurance system is a no-fault method of paying workers for medical expenses and wage losses due to on-the-job injuries. While the majority of WC claims are truthful, the National Insurance Crime Bureau reports that billions of dollars of false claims are submitted each year. To help you detect possible WC fraud, experience shows a claim may be fraudulent if two or more of the following factors are present:

Fighting Workers Compensation Fraud, starts by knowing the red flags to look out for! Then working with your insurance broker to aggressively go after fraud! Most insurance brokers take a back seat "not my job" attitude toward fighting fraud. I tell my clients that our ability to fight fraud is one big reason they want to be insured with GDI! We offer cash rewards! Among other things to get to the bottom of and stop fraud.

Monday Morning: The alleged injury occurs either "first thing Monday morning," or late on a Friday afternoon but not reported until Monday.

Employment Change: The reported accident occurs immediately before or after a strike, a layoff, the end of a big project or at the conclusion of seasonal work.